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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure … Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure … Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure
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psnet.ahrq.gov/node/866440/psn-pdf
August 07, 2024 - structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety … https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetransitions.pptx
June 02, 2025 - ambulatory care appointments, you can potentially:
Reduce errors
Increase patient engagement
Take actions to ensure … Team members also have specific roles and responsibilities in order to ensure success. … evaluations, the team lead will communicate any changes your facility has made to use or modify the tools to ensure … To ensure that the tools are sustainable, some key actions that your facility can take include:
Integrating
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cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
January 01, 2024 - ■ Associate PD Rina Dhopeshwarkar will ensure that a calendar invitation is disseminated to all … Dullabh and Dhopeshwarkar will ensure
minutes are captured at each meeting by NORC and notes will be … ■ The NORC team will ensure email communications to the Steering Committee from the project
team … Dullabh and
Dhopeshwarkar will ensure the feedback from Steering Committee members is captured and … challenges, Dhopeshwarkar will ensure mitigation
strategies are in place for the Operations Center.
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psnet.ahrq.gov/issue/measurable-outcomes-quality-improvement-trauma-intensive-care-unit-impact-daily-quality
February 24, 2010 - Clinicians constantly encounter the challenge of how to ensure that appropriate patient safety measures … This study used a "quality rounds checklist," which was completed by the ICU fellow, to ensure that trauma … A prior study implemented a similar tool to ensure multidisciplinary communication in the ICU.
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www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - Structure
Identification of the components of a multi-team
system that must work together effectively to ensure … Nurse: “BP is 96/62”
11
Communication
Check-Back
Using closed-loop communication to ensure
that … Sender double-checks to ensure that
the message was received
Example:
Doctor: “Give 25 mg Benadryl … behaviors
Situation Monitoring
Monitors the state of the patient
Monitors fellow team members to ensure … toward the goal and identifies changes that
could alter the care plan
Fosters communication to ensure
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.pdf
March 01, 2022 - Ensure a trash
can is nearby for disposal of wipes after use. … Ensure that wipes are applied to skin by firm
massage to ensure the binding of CHG to skin proteins. … • Ensure thorough cleaning, with special attention to commonly soiled areas such as the
neck, axilla … patient refused a critical antihypertensive or
diabetic medication, their healthcare providers should ensure … Similarly, the goal here is to ensure that the
patient understands that they are refusing a protective
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-chg-basin-bathing.docx
March 01, 2022 - Ensure a trash can is nearby for disposal of wipes after use. … Ensure that wipes are applied to skin by firm massage to ensure the binding of CHG to skin proteins. … · Ensure thorough cleaning, with special attention to commonly soiled areas such as the neck, axilla … patient refused a critical antihypertensive or diabetic medication, their healthcare providers should ensure … Similarly, the goal here is to ensure that the patient understands that they are refusing a protective
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief5.html
July 01, 2024 - Preparation for Emergencies in Outpatient Settings An article focusing on pediatrics notes, “The best way to ensure … Organizations should ensure that lessons learned from simulation are tracked, trended, and reported at
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cdsic.ahrq.gov/sites/default/files/2025-03/Operations%20Center%20OY2%20Operational%20Framework_508.pdf
January 01, 2025 - The Operations Center is critical to the success of the CDSiC as it will be the Center that will ensure … Dullabh and Dhopeshwarkar will ensure
minutes are captured at each meeting by NORC and notes will be … ■ The NORC team will ensure email communications to the Steering Committee from the project
team … Dullabh and
Dhopeshwarkar will ensure the feedback from Steering Committee members is captured and … challenges, Dhopeshwarkar will ensure mitigation
strategies are in place for the Operations Center.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-6.html
February 01, 2021 - This type of approach will address barriers, additional areas for research, and regulatory changes to ensure … In addition, applications must be rigorously evaluated to ensure they are effective in achieving patient
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www.ahrq.gov/antibiotic-use/ambulatory-care/four-moments/index.html
October 01, 2022 - Before prescribing antibiotics, ensure that the patient has signs and symptoms suggesting a bacterial … Before the patient leaves the office, or prior to the end of a phone call or electronic exchange, ensure
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-rural-healthcare4.html
October 01, 2024 - Reducing award turnaround time to ensure funding is accessible in a more immediate manner can also help … can use a variety of grant funding sources to invest in continuous quality improvement strategies to ensure … Communities can also advocate for beneficial healthcare policies at the state and federal level to ensure
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/copyright-release.docx
July 01, 2024 - Contractors must ensure that any content created with generative AI used in their deliverables does not … Contractors must conduct thorough checks to ensure that the AI training datasets are free of unauthorized
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psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor
February 16, 2011 - Study
"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a … "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor" … "See One, Sim One, Do One"- A National Pre-Internship Boot-Camp to Ensure a Safer "Student to Doctor"
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-slides.pptx
November 01, 2019 - frontline clinicians/teams to think about optimizing prescribing Requires an implementation plan to ensure … Often seen as more of an “educational” interaction May impact limited numbers of patients; need to ensure … so ASP needs to devote time
Approach Pro Con
Develop standardized regimens for all procedures; ensure … 7: Consolidate improvements
and create still more change
Step 8: Institutionalize new approaches
Ensure … ASPs should determine that they are using methods to ensure uptake of change regarding antibiotic prescribing
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/implement-staff-vaccination-program.pdf
March 01, 2022 - Medicare & Medicaid Services’ (CMS’) which requires Medicare- and Medicaid-certified facilities to
ensure … Consult State and Federal laws and guidance to ensure your facility’s vaccine implementation
plan complies … Ensure requests for religious exemptions are documented and evaluated in
accordance with applicable … Ensure all documentation is signed and dated by a licensed practitioner. … Ensure requests for disability exemptions are documented and evaluated in
accordance with applicable
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
January 01, 2025 - • Ensure that healthcare equity is a key piece of the National Action Alliance. … Our aims are intended to ensure that all healthcare systems strengthen their
foundations in patient … • Healthcare systems will ensure the voices of patients, families/caregivers, and
employees are at … • What national aim should we establish that will ensure that our health system is safe for all? … What national aim should we establish, that will ensure that our health system is safe for all?
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-7-implementation-guide.pdf
June 02, 2025 - Ensure that your AR order set message is concise and
impactful with more graphics than text. … • Staffing tips:
o ensure no member of the team will be on vacation during the training period, … o Ensure representation on all shifts. … o Ensure live coverage for hotline telephone number for first 24-48 hours. … o Ensure the email box for questions is monitored to ensure a timely response.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Protecting the organization to ensure the event analysis is not discoverable during a potential lawsuit … Protecting patients from future harm, since the organization has a process to ensure continuous learning … Risk Management personnel should ensure all parts of the organization are using the event reporting system … approach to Event Investigation and Analysis is that managing individual performance alone does not ensure … Eventually, the team sends a report to leadership and the board, conducts followup 6 weeks later to ensure